Sandra Decoute

NPI #1518366731 in Holbrook, New York

Provider Information

NPI Number: 1518366731
Entity Type: Individual
Name: Sandra Decoute
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 14, 2014
Last Updated: Aug 14, 2014

Practice Location

Address: 93 MOONLIGHTWALK
Address 2: 93
City: Holbrook
State: New York
ZIP Code: 11741-4923
Phone: (631) 258-8875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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